Individual provider · Type 1 NPI

Samuel McCoy, CPRM

Peer Specialist · Detroit, MI

NPI number 1700702859 Active

Practice location

2011 Clements St
Detroit, MI 48238-3484

Call (313) 962-9446 Map

Fax (313) 502-5147

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XM200758379939 (MI)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Other peer specialist providers in Detroit

See all in Detroit →

About NPI 1700702859

Samuel McCoy, CPRM's National Provider Identifier is 1700702859, issued on Jun 24, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 24, 2026.